AZTEC CARE HOLDINGS LLC (NPI# 1477032902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477032902 |
| Entity Type | Organization |
| Organization Name | AZTEC CARE HOLDINGS LLC |
| Practice Address |
500 Care Ln Aztec NM 87410-1552 |
| Mailing Address |
5200 N Palm Ave Ste 107 Fresno CA 93704-2225 |
| Practice Telephone | 5053349445 |
| Mailing Telephone | 8887259186 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | BRANDON BIGELOW (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8887259186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NM | Nursing & Custodial Care Facilities |
| Street Address |
500 CARE LN |
| City | AZTEC |
| State | NM |
| Zip Code | 87410-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568443570 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 500 Care Ln, Aztec, NM 87410-1552 | 2005-11-07 |
| 1063064970 | Tonnya Redmond | Occupational Therapist | 500 Care Ln, Aztec, NM 87410-8741 | 2019-07-11 |
| 1003471541 | Aztec Healthcare LLC | Skilled Nursing Facility | 500 Care Ln, Aztec, NM 87410-1552 | 2019-05-09 |
| 1982172011 | Cedric Butler | Occupational Therapist | 500 Care Ln, Aztec, NM 87410-1552 | 2018-11-07 |
| 1649671892 | Stephen G Windbiel | Speech-Language Pathologist | 500 Care Ln, Aztec, NM 87410-1552 | 2014-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095448 | Kendill May Jones | Technician | 403 Andrew D, Aztec, NM 87410 | 2019-10-23 |
| 1831346469 | Suzette Lorraine Gordon | Psychologist | 1607 W. Aztec Blvd., Aztec Municipal Schools, Aztec, NM 87410 | 2008-08-26 |
| 1730392101 | Jack Fields Sona II | Pharmacist | Jack Sona, Rph, 100 Llano St, Aztec, NM 87410 | 2007-05-08 |
| 1093888380 | Bryan Standley Poe | Family Medicine | 406 S Park Ave, Aztec, NM 87410 | 2006-11-16 |
| 1467531921 | Katherine Andersen | Acupuncturist | 606 South Rio Grande Ave., Suite B, Aztec, NM 87410 | 2006-11-03 |
| 1861467433 | San Juan Regional Medical Center Inc | Internal Medicine | 120 Llano St, Aztec, NM 87410 | 2006-02-17 |
| 1649262502 | Kare Inc | Pharmacy | 100 Llano St., Aztec, NM 87410 | 2005-08-17 |
| 1871023044 | Rebekah Leann French | Nurse Practitioner | 120 Llano St, Aztec, NM 87410 | 2017-06-19 |
| 1316486855 | Sarah Anne Thomason | Registered Nurse | 1118 W Aztec Blvd, Aztec, NM 87410 | 2017-02-16 |
| 1629257092 | Karen L Vogel | Speech-Language Pathologist | 455 N Light Plant Rd, Aztec, NM 87410-1517 | 2007-11-01 |
| Find all providers in zip 87410 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003471541 | Aztec Healthcare LLC | Skilled Nursing Facility | 500 Care Ln, Aztec, NM 87410-1552 | 2019-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290623 | Michael P. Clements Md | Skilled Nursing Facility | 1096 Mechem Dr Ste G05, Ruidoso, NM 88345-7057 | 2019-11-22 |
| 1619447554 | Albuquerque Operations LLC | Skilled Nursing Facility | 8820 Horizon Blvd Ne # Na, Albuquerque, NM 87113-1689 | 2018-12-04 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1164917712 | Welbrook Senior Living Farmington LLC | Skilled Nursing Facility | 201 Nelson Ave, Farmington, NM 87401-3375 | 2018-06-26 |
| 1821536087 | Renaissance Health Care LLC | Skilled Nursing Facility | 1610 N Renaissance Blvd Ne, Albuquerque, NM 87107-7047 | 2017-02-08 |
| 1609231448 | The Neighborhood In Rio Rancho | Skilled Nursing Facility | 900 Loma Colorado Blvd Ne, Rio Rancho, NM 87124-6511 | 2015-12-21 |
| 1720477847 | Julie Salcido | Skilled Nursing Facility | 9126 Seaside Rd Nw, Albuquerque, NM 87121-1939 | 2015-01-13 |
| 1003205188 | Brian Walker | Skilled Nursing Facility | 10101 Lgrma Oro Rd Ne, Albuquerque, NM 87111-6022 | 2015-01-13 |
| 1043615925 | Shiloh Home Health Inc | Skilled Nursing Facility | 4301 Largo St Ste A, Farmington, NM 87402-8629 | 2014-11-04 |
| 1619390333 | Rehab Suites At Las Estancias LLC | Skilled Nursing Facility | 3620 Las Estancias Drive Sw, Albuquerque, NM 87105 | 2014-01-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.